1 00:00:02,069 --> 00:00:03,605 [♪ upbeat music playing] 2 00:00:03,738 --> 00:00:06,206 [Grey] In order to be designated a Level 1 trauma center, 3 00:00:06,340 --> 00:00:08,843 hospitals must meet a variety of requirements. 4 00:00:08,977 --> 00:00:11,278 Ooh! What are you doing? Get out of the way. I'm almost to the next level. 5 00:00:11,411 --> 00:00:13,013 I am cleaning up Katie's stuff. 6 00:00:13,146 --> 00:00:15,082 Does it have to be right now? I haven't played in days. 7 00:00:15,215 --> 00:00:18,252 Oh, I'm sorry the dying patient got in the way of your video games. 8 00:00:19,654 --> 00:00:21,890 Hey, can you give this to Lucas? 9 00:00:22,991 --> 00:00:24,358 Give it to him yourself. 10 00:00:24,826 --> 00:00:28,095 [Grey] They must maintain usable ORs within 15 minutes, 11 00:00:28,228 --> 00:00:30,965 employ a minimum number of certified specialists... 12 00:00:31,098 --> 00:00:32,700 No. 13 00:00:32,834 --> 00:00:35,335 [Grey] ...and admit at least 1,200 trauma patients a year. 14 00:00:36,938 --> 00:00:39,306 Hospitals in big cities pass the test easily. 15 00:00:40,542 --> 00:00:42,376 But the farther away you get... 16 00:00:42,844 --> 00:00:45,178 Adams? Come on. It's morning. 17 00:00:45,680 --> 00:00:47,180 Mmm. 18 00:00:47,815 --> 00:00:51,285 I know Katie was a tough loss. I'm feeling it too. 19 00:00:51,418 --> 00:00:53,955 If you want me to find someone else for your assignment... 20 00:00:54,087 --> 00:00:56,156 No, I'm good. I'm good. I'm going. 21 00:00:56,290 --> 00:00:59,259 [Grey] ...hospitals are Level 2, 3, even 4, 22 00:00:59,393 --> 00:01:02,864 and sometimes all they can do is transfer people to get the care they need 23 00:01:02,997 --> 00:01:04,264 and hope they hang on. 24 00:01:06,701 --> 00:01:09,069 We shouldn't be doing this. We have to stop. 25 00:01:09,637 --> 00:01:10,672 Uh-huh. 26 00:01:11,539 --> 00:01:15,342 Iris is back from vacation today. What if she walks in here? 27 00:01:15,475 --> 00:01:18,211 Why would an LandD nurse go into a CCU closet? 28 00:01:21,248 --> 00:01:22,349 Um... 29 00:01:22,817 --> 00:01:26,654 She... Listen. She doesn't deserve to be treated like this. 30 00:01:26,788 --> 00:01:28,388 I have to break it off. 31 00:01:28,523 --> 00:01:29,891 When are you going to talk to her? 32 00:01:30,558 --> 00:01:32,594 As soon as humanly possible. 33 00:01:34,161 --> 00:01:36,731 Uh, we were just looking for... 34 00:01:36,864 --> 00:01:38,600 -Gauze. [chuckles] -Yeah. 35 00:01:38,733 --> 00:01:39,901 I don't care. 36 00:01:42,402 --> 00:01:44,606 Oh, I actually do need to grab a Cordis kit. 37 00:01:44,739 --> 00:01:46,106 I'll see you at rounds. 38 00:01:46,239 --> 00:01:47,341 Okay. 39 00:01:47,474 --> 00:01:50,011 ♪ Till it's mine ♪ 40 00:01:50,143 --> 00:01:51,546 ♪ Till it's mine ♪ 41 00:01:55,248 --> 00:01:56,183 I'm freezing my eggs. 42 00:01:56,316 --> 00:01:57,919 Sill don't care. 43 00:02:04,993 --> 00:02:07,895 Richard. Hey, are you gonna change? 44 00:02:08,029 --> 00:02:09,664 Uh, we're hitting the road in a half an hour. 45 00:02:09,797 --> 00:02:11,498 Oh, I'm heading out, but not to Enumclaw. 46 00:02:12,066 --> 00:02:13,835 -[stammers] Why? -Well, my schedule changed. 47 00:02:13,968 --> 00:02:15,036 Didn't you see my email? 48 00:02:15,168 --> 00:02:16,370 -No. -Well, uh, I... 49 00:02:17,005 --> 00:02:19,741 [sighs] I forgot to hit send. [scoffs] 50 00:02:19,874 --> 00:02:22,644 [sighs] I told Cascade Hill I'm bringing them four surgeons. 51 00:02:22,777 --> 00:02:25,113 Well-Well, you will. I got you a backup. 52 00:02:25,245 --> 00:02:26,480 Oh, here she comes. 53 00:02:26,614 --> 00:02:27,982 -Hey. -[Webber] Hey. 54 00:02:28,750 --> 00:02:30,985 -Hey, hi. -[Webber clears throat] Um... 55 00:02:31,119 --> 00:02:32,285 [stammers] ...have fun out there. 56 00:02:32,419 --> 00:02:34,055 -Thanks. -[chuckles] 57 00:02:34,187 --> 00:02:35,990 Listen, if you're too busy for this, I can just take the residents. 58 00:02:36,124 --> 00:02:37,859 Oh, oh, Richard asked for a favor. 59 00:02:37,992 --> 00:02:39,426 I made time, but I... 60 00:02:39,560 --> 00:02:41,361 -I mean, if you don't want me to go-- -No, no, no, no. 61 00:02:41,495 --> 00:02:43,363 These patients need all the help they can get. 62 00:02:43,497 --> 00:02:44,699 Right. 63 00:02:46,834 --> 00:02:48,836 I love field trips. 64 00:02:48,970 --> 00:02:50,370 -Are you excited? -Not really. 65 00:02:50,505 --> 00:02:52,940 Well, Dr. Hunt said last time he volunteered at Enumclaw, 66 00:02:53,074 --> 00:02:54,676 there was a guy that was crushed by a horse. 67 00:02:54,809 --> 00:02:55,910 Cool. 68 00:02:56,744 --> 00:02:59,681 If you're not interested in rural medicine, then why did you volunteer? 69 00:02:59,814 --> 00:03:01,983 I was looking for some peace and quiet. 70 00:03:04,351 --> 00:03:06,186 Adams, hi. Are you coming too? 71 00:03:06,319 --> 00:03:08,790 -No. -Hey, I texted you about Katie... 72 00:03:09,991 --> 00:03:11,324 Is he okay? 73 00:03:11,458 --> 00:03:12,694 Clearly wouldn't know. 74 00:03:12,827 --> 00:03:14,862 -Okay, did you pack up all the supplies? -Yes. 75 00:03:14,996 --> 00:03:16,864 -All right, let's go. -Oh, I made a playlist. 76 00:03:19,232 --> 00:03:21,102 -I-I also brought earbuds, so. -Great. 77 00:03:23,504 --> 00:03:24,639 [Bailey] Okay. 78 00:03:25,540 --> 00:03:27,407 -Hi. -Planning a vacation? 79 00:03:27,542 --> 00:03:32,279 [sighs] If all goes well, we're gonna take a road trip, see some national parks. 80 00:03:32,412 --> 00:03:35,917 Oh, Yosemite is one of my favorite places on Earth. 81 00:03:36,050 --> 00:03:37,919 -[Kwan] Mmm. -I don't like nature. 82 00:03:38,052 --> 00:03:40,287 [chuckles] He's warming up to the idea. 83 00:03:41,388 --> 00:03:42,957 I'm gonna go get some food. 84 00:03:44,859 --> 00:03:46,259 [Bailey] Hmm. 85 00:03:46,393 --> 00:03:49,864 They say God made teenagers so it's easier to let them go. 86 00:03:50,732 --> 00:03:52,734 -Kwan. -[Kwan] Quinn Durston, 43, 87 00:03:52,867 --> 00:03:54,902 -with stage 4 hepatocellular carcinoma. -[Bailey] Mm-hmm. 88 00:03:55,036 --> 00:03:58,405 He's had chemo and radiation. Now presenting with biliary stenosis. 89 00:03:58,539 --> 00:04:00,608 He's scheduled for an ERCP to place a stent. 90 00:04:00,742 --> 00:04:02,910 Waiting to hear from the FDA whether we can implant 91 00:04:03,044 --> 00:04:05,780 a synthetic lymph node for compassionate use. 92 00:04:05,913 --> 00:04:07,380 So there's still no decision? 93 00:04:07,515 --> 00:04:09,550 I'll be following up right after this. 94 00:04:10,752 --> 00:04:12,252 Do they know that I'm a single dad, 95 00:04:12,385 --> 00:04:15,422 and if this treatment really could give me more time, 96 00:04:15,556 --> 00:04:17,390 that'd be life-changing for Logan. 97 00:04:17,525 --> 00:04:20,728 [Bailey] Unfortunately, they're only looking at the medical facts of the case. 98 00:04:20,862 --> 00:04:22,295 Let me worry about the FDA. 99 00:04:22,429 --> 00:04:23,798 In the meantime, Dr. Kwan? 100 00:04:23,931 --> 00:04:26,433 -I'll run pre-op labs for the stent. -Good. [chuckles] 101 00:04:29,469 --> 00:04:30,905 [chuckles] 102 00:04:33,941 --> 00:04:37,078 Okay. [sighs] Right. Here we are. 103 00:04:37,879 --> 00:04:40,447 -Dr. Hunt. [chuckles] So good to see you. -Dr. Braider. 104 00:04:40,581 --> 00:04:42,617 -Come here. -Oh. [chuckles] 105 00:04:43,084 --> 00:04:45,285 This is Dr. Altman, Dr. Griffith, Dr. Spencer. 106 00:04:45,418 --> 00:04:48,122 This is Dr. Lorna Braider. She is in family medicine. 107 00:04:48,256 --> 00:04:51,491 And OB, orthopedic, pediatric, geriatric, 108 00:04:51,626 --> 00:04:53,426 basically anything that comes in those doors. 109 00:04:53,561 --> 00:04:55,263 Keeps things exciting around here. 110 00:04:57,430 --> 00:04:59,167 -Why don't you put us to work? -Absolutely. 111 00:04:59,299 --> 00:05:01,669 We've got a head lac in bed 3, abscess in bed 2. 112 00:05:01,803 --> 00:05:04,772 Everything should be easy to find, but Dr. Hunt knows his way around. 113 00:05:04,906 --> 00:05:06,774 -[Hunt chuckles] -I can take the head lac. 114 00:05:07,474 --> 00:05:08,843 Yeah, I'm on it. 115 00:05:08,976 --> 00:05:11,245 Okay. All right, well, we've got some supplies in the van. 116 00:05:11,378 --> 00:05:13,815 -I'll go get them. -You are a literal lifesaver. 117 00:05:13,948 --> 00:05:16,050 -[Hunt chuckles] -Oh. Hang on. Hold on those supplies. 118 00:05:16,184 --> 00:05:17,852 Incoming rig. Let's go. 119 00:05:18,318 --> 00:05:21,354 May not be a big city, but there is rarely a dull moment. 120 00:05:21,488 --> 00:05:23,356 [both chuckle] 121 00:05:24,292 --> 00:05:27,128 June Rojas, 23, fell while rafting the Green River. 122 00:05:27,261 --> 00:05:28,963 -Trauma to the left arm. -[June] Where's Keaton? 123 00:05:29,096 --> 00:05:30,865 -[paramedic] Vitals stable. -Where's Keaton? 124 00:05:31,331 --> 00:05:33,301 -We dressed the injury at the scene. -You want to take the lead, 125 00:05:33,433 --> 00:05:35,402 -see what it's like to be in charge here? -[Hunt] June? 126 00:05:35,536 --> 00:05:37,437 I'm Dr. Hunt. This is Dr. Braider and Dr. Altman. 127 00:05:37,572 --> 00:05:39,841 -We're gonna take care of your arm, okay? -Have they found him? 128 00:05:39,974 --> 00:05:41,008 -Who's him? -Boyfriend. 129 00:05:41,142 --> 00:05:43,376 He's not my boyfriend. He's my soulmate. 130 00:05:43,511 --> 00:05:44,946 Search and rescue's looking now. 131 00:05:45,079 --> 00:05:47,582 Keaton has to be alive. I have to find him. 132 00:05:47,715 --> 00:05:49,482 Take me back out there. 133 00:05:49,617 --> 00:05:51,619 They're doing everything they can to find him, but I'm worried about your arm. 134 00:05:51,752 --> 00:05:53,521 We're gonna get you inside and clean you up, all right? 135 00:05:53,654 --> 00:05:55,256 Accomplished trauma surgeon with bedside manner. 136 00:05:55,388 --> 00:05:57,758 Like I said, perfect match for Cascade Hill. 137 00:05:58,726 --> 00:06:01,494 Are you-- Were you offered a job here? 138 00:06:14,876 --> 00:06:18,946 Hey, there's a range of symptoms, and sometimes there aren't symptoms at all. 139 00:06:19,080 --> 00:06:21,215 That's why getting screened is important. 140 00:06:21,349 --> 00:06:22,382 Well, Dr. Adams? 141 00:06:23,483 --> 00:06:25,219 I got a colonoscopy last year. 142 00:06:25,353 --> 00:06:27,989 Yeah, those don't detect prostate cancer. 143 00:06:28,122 --> 00:06:29,557 [Webber] Prostate cancer screenings 144 00:06:29,690 --> 00:06:33,060 typically start with a physical exam or a blood test. 145 00:06:33,194 --> 00:06:35,329 But good for you on the colonoscopy. Keep that up. 146 00:06:35,462 --> 00:06:37,798 -I'll take one of those. For my dad. -[Webber] Oh, take two. 147 00:06:37,932 --> 00:06:40,368 Black men are more likely to get it at a younger age. 148 00:06:40,501 --> 00:06:43,237 Wanna ask your doctor when you turn around 40. 149 00:06:43,838 --> 00:06:46,107 -Any other questions? -What if I just don't want to know? 150 00:06:46,240 --> 00:06:48,042 [all laughing] 151 00:06:48,175 --> 00:06:51,245 Well, that's your prerogative, but it's very treatable if it's caught early. 152 00:06:51,879 --> 00:06:53,547 Uh, oh, excuse me. 153 00:06:53,681 --> 00:06:54,715 Um, Adams. 154 00:06:55,482 --> 00:06:57,251 Um, where do you think you're going? 155 00:06:58,085 --> 00:07:01,923 Uh, we've talked to everybody, so I was gonna grab a coffee next door. 156 00:07:02,056 --> 00:07:03,524 Not quite everyone. 157 00:07:03,658 --> 00:07:09,230 I think my barber, Jones, would benefit from some conversation. 158 00:07:12,033 --> 00:07:13,634 No. No, no, no, we have an agreement, okay? 159 00:07:13,768 --> 00:07:17,171 He gives me a clean shave, and I keep my mouth shut about medicine. 160 00:07:17,738 --> 00:07:18,773 You know, church and state. 161 00:07:21,609 --> 00:07:22,910 Fine, I'll give it to him. 162 00:07:23,044 --> 00:07:24,912 No, wait a minute. That's not gonna do anything. 163 00:07:25,046 --> 00:07:26,814 You gotta find an opening to talk to him. 164 00:07:27,748 --> 00:07:29,482 You do remember how to talk, right? 165 00:07:41,395 --> 00:07:42,630 [Adams sighs] 166 00:07:44,565 --> 00:07:47,368 -Did you put in Mr. Saks's pre-op orders? -I did. 167 00:07:47,501 --> 00:07:49,136 Okay, maybe I should go review them. 168 00:07:49,937 --> 00:07:52,873 Do you know that cows hate bad weather? 169 00:07:53,007 --> 00:07:54,474 They'll run away from it until they get tired, 170 00:07:54,608 --> 00:07:55,977 and then the storm catches up with them. 171 00:07:56,110 --> 00:07:58,079 -Why do you know this? -But buffalo are brave. 172 00:07:58,212 --> 00:08:00,281 -There's more. -They run right into the storm, 173 00:08:00,414 --> 00:08:01,782 so they get through it faster. 174 00:08:01,916 --> 00:08:03,851 -I'm a cow in this analogy? -Mmm. 175 00:08:03,985 --> 00:08:06,220 -[Iris] Dr. Ndugu. -Run into the storm. 176 00:08:06,787 --> 00:08:08,155 Hey, welcome back. 177 00:08:08,289 --> 00:08:09,657 Thanks. Good to be back. 178 00:08:09,790 --> 00:08:11,058 Yeah, um... 179 00:08:11,192 --> 00:08:13,527 [clicks tongue] Do you have a minute? Can we talk? 180 00:08:13,661 --> 00:08:15,495 -Sure. -[cheering] Happy birthday! 181 00:08:15,629 --> 00:08:17,765 -Happy birthday, Iris. -[Iris] You guys are so sweet. 182 00:08:17,898 --> 00:08:20,534 -[nurse 1] Here you go, birthday girl. -Thank you! 183 00:08:20,668 --> 00:08:22,837 -[Iris] Who planned this? -[nurse 1] Come here. 184 00:08:23,504 --> 00:08:24,772 Oh, you guys. 185 00:08:25,239 --> 00:08:26,407 [applauding] 186 00:08:26,540 --> 00:08:27,808 -[Iris] Thank you. -[nurse 2] Have a good day. 187 00:08:27,942 --> 00:08:30,544 -[Iris] Bye. Thanks. -[nurse 3] See you later, Iris. 188 00:08:31,112 --> 00:08:33,147 So what was it that you wanted to talk about? 189 00:08:34,782 --> 00:08:36,717 Happy birthday. [chuckles] 190 00:08:36,851 --> 00:08:38,085 -Thank you. -Yeah. 191 00:08:38,953 --> 00:08:39,954 Uh-huh. 192 00:08:42,456 --> 00:08:43,491 It's like flour. 193 00:08:44,458 --> 00:08:45,693 Or Maldon salt. 194 00:08:46,327 --> 00:08:49,463 Except it took years and millions to make. Stop touching it. 195 00:08:50,331 --> 00:08:51,265 Okay. 196 00:08:51,399 --> 00:08:54,869 So we add a liquid diluent 197 00:08:55,002 --> 00:09:01,575 and then deliver percutaneously as close as we can to the tumor. 198 00:09:04,645 --> 00:09:05,746 There we go. 199 00:09:11,385 --> 00:09:13,888 Ah. Damn near perfect. [chuckles] 200 00:09:14,021 --> 00:09:15,022 Can I try? 201 00:09:15,156 --> 00:09:16,257 Mmm. 202 00:09:16,991 --> 00:09:20,327 So, after injection, it'll form a gel. 203 00:09:20,461 --> 00:09:24,465 A tiny blob training an army of immune cells 204 00:09:24,598 --> 00:09:27,868 to attack the tumor without chemo side effects. 205 00:09:28,002 --> 00:09:29,870 Huh, It's like a secret lymph node. 206 00:09:30,571 --> 00:09:32,541 Or spy node? 207 00:09:33,374 --> 00:09:35,544 The rebel base on Yavin 4. 208 00:09:36,077 --> 00:09:38,579 They trained to destroy the Death Star? 209 00:09:38,712 --> 00:09:40,915 So we're Jedis. 210 00:09:41,048 --> 00:09:43,417 The Rebel Alliance. Have I taught you nothing? 211 00:09:43,552 --> 00:09:44,985 Here, let me see. 212 00:09:45,554 --> 00:09:49,056 My life could have been very different if this was around when my mom was sick. 213 00:09:49,190 --> 00:09:50,758 You and a lot of people. 214 00:09:50,891 --> 00:09:53,994 But let's not get ahead of ourselves. Still in the testing phase. 215 00:09:55,029 --> 00:09:56,363 Nice approach. 216 00:09:57,566 --> 00:09:58,632 Okay, go prep Quinn. 217 00:10:05,005 --> 00:10:06,240 [door opens] 218 00:10:06,740 --> 00:10:08,142 [June sobbing] 219 00:10:09,643 --> 00:10:10,911 -Hey. -Hey. 220 00:10:12,780 --> 00:10:14,882 Do you know if Lucas has any food allergies? 221 00:10:15,015 --> 00:10:16,317 Lucas Adams? 222 00:10:16,450 --> 00:10:18,152 Yeah, I want to order him some cookies. 223 00:10:18,285 --> 00:10:20,821 -Cookies? -Or maybe doughnuts are better? 224 00:10:21,922 --> 00:10:23,457 I'm just trying to be nice. 225 00:10:23,592 --> 00:10:25,426 Yeah, I was nice to him. You know what it got me? 226 00:10:25,560 --> 00:10:28,796 Hospice in my living room and blame for something that wasn't my fault. 227 00:10:28,929 --> 00:10:30,565 -I don't have to get the cookies. -Everyone says 228 00:10:30,698 --> 00:10:33,467 your coresidents are your support system and they'll look out for you. 229 00:10:33,602 --> 00:10:35,069 You know who's actually looking out for you? 230 00:10:35,202 --> 00:10:36,737 -Attendings? -You. 231 00:10:36,871 --> 00:10:39,173 That's it. Sooner you figure that out, the better off you'll be. 232 00:10:40,609 --> 00:10:43,077 [sobbing, groaning] Stop, please. It hurts. 233 00:10:43,210 --> 00:10:46,247 I know, but we need to remove the dressing to check the wound. 234 00:10:47,448 --> 00:10:49,116 [screams] No, I'm sorry, I can't. 235 00:10:49,250 --> 00:10:51,886 Looks like it's adhered to her arm. We're gonna give you some meds, 236 00:10:52,019 --> 00:10:54,688 then wet the gauze with saline and try again, okay? 237 00:10:56,257 --> 00:10:58,826 We shouldn't have tried Class IV rapids on our own. 238 00:10:59,426 --> 00:11:01,262 We were halfway down before we capsized. 239 00:11:02,062 --> 00:11:05,065 -I grabbed a branch, but Keaton... [crying] -I'm so sorry. 240 00:11:09,103 --> 00:11:12,574 When we left this morning, I never thought by the end of the day he will be gone. 241 00:11:15,075 --> 00:11:18,712 We don't know anything yet. Let's just take it one step at a time, okay? 242 00:11:22,116 --> 00:11:23,384 We were called for a consult. 243 00:11:24,185 --> 00:11:25,853 This is Patricia Kim. 244 00:11:25,986 --> 00:11:30,024 She's transferred from OB post C-section for spontaneous pneumothorax. 245 00:11:30,157 --> 00:11:32,561 She has a persistent air leak in her chest tube. 246 00:11:32,693 --> 00:11:34,228 Your name's Iris, right? 247 00:11:34,828 --> 00:11:37,231 Is that your birthday cake in the third floor break room? 248 00:11:37,798 --> 00:11:39,333 -That's me. -Love Funfetti. 249 00:11:39,466 --> 00:11:40,868 -Happy birthday. -Thanks. 250 00:11:41,869 --> 00:11:44,171 What are you doing to celebrate? 251 00:11:44,305 --> 00:11:48,543 I'm going out tonight with a few friends and, um, this guy that I'm seeing. 252 00:11:49,343 --> 00:11:51,513 The guy you're seeing? How nice. 253 00:11:51,646 --> 00:11:54,415 Assuming no one needs a triple bypass later. 254 00:11:54,549 --> 00:11:57,218 He's a cardiothoracic surgeon. 255 00:11:57,851 --> 00:11:59,621 Sounds like a keeper. 256 00:11:59,753 --> 00:12:03,424 Can you set up for bedside talc pleurodesis, and... 257 00:12:05,759 --> 00:12:06,827 page Dr. Ndugu. 258 00:12:06,961 --> 00:12:09,029 [Quinn] Come on. You'll bring your board. 259 00:12:10,164 --> 00:12:12,166 We'll stop at all the best skate parks. 260 00:12:13,702 --> 00:12:15,469 That'll just make the trip take longer. 261 00:12:23,210 --> 00:12:24,679 Did you hear back? 262 00:12:26,413 --> 00:12:27,682 They said no. 263 00:12:27,815 --> 00:12:29,984 [Bailey] They did. Quinn, I'm so sorry. 264 00:12:30,117 --> 00:12:31,151 Did they give a reason? 265 00:12:31,285 --> 00:12:33,120 No. They usually don't. 266 00:12:33,254 --> 00:12:34,656 So what now? 267 00:12:35,222 --> 00:12:39,493 Uh, we will place the stent as planned and then back to the drawing board. 268 00:12:40,227 --> 00:12:41,730 Will I have to start chemo again? 269 00:12:41,862 --> 00:12:43,831 That'll be up to your oncologist. 270 00:12:45,366 --> 00:12:48,435 There's other innovations in the pipeline, 271 00:12:48,570 --> 00:12:51,740 and we will look into every single one of them. 272 00:12:53,374 --> 00:12:55,242 See? It'll be okay. 273 00:12:56,711 --> 00:12:57,746 [chuckles] 274 00:12:58,279 --> 00:13:00,347 I'll take him upstairs for the stent. 275 00:13:11,458 --> 00:13:13,762 How's your pain? You need more meds? 276 00:13:13,894 --> 00:13:16,765 I'm okay. Nothing compares to the pain in my heart. 277 00:13:16,897 --> 00:13:19,133 -Chest pain? -If Keaton's not in my life, 278 00:13:19,266 --> 00:13:20,467 it's not worth saving. 279 00:13:21,302 --> 00:13:23,437 Well, we're gonna try anyway, okay? 280 00:13:24,004 --> 00:13:26,106 -[Altman] Whoa. Okay. -She has pulsatile bleeding. 281 00:13:26,240 --> 00:13:29,276 Right. The radial artery is partially transected. 282 00:13:29,410 --> 00:13:31,646 Let's check collateral circulation. 283 00:13:32,647 --> 00:13:34,982 The ulnar's not gonna be enough. We're gonna have to repair it. 284 00:13:35,115 --> 00:13:37,017 [Hunt] I'm gonna place a tourniquet. Let's hang a liter of LR. 285 00:13:37,151 --> 00:13:39,386 Dr. Hunt, we could use your help over here. 286 00:13:39,521 --> 00:13:41,623 Griffith and Spencer, take over here now, please. 287 00:13:41,756 --> 00:13:43,525 Okay. I got a male. Found him near the Green River. 288 00:13:43,658 --> 00:13:44,892 He's got multiple lacs and abrasions 289 00:13:45,025 --> 00:13:46,860 with severe ecchymosis on the left abdominal wall. 290 00:13:46,994 --> 00:13:48,630 Airway's secure, GCS is 15, 291 00:13:48,763 --> 00:13:51,965 and I got a body temp of 96.7. We put every blanket we had on him. 292 00:13:52,099 --> 00:13:56,571 -On my count. Ready? One, two, three, go. -Right. Let me get in there. 293 00:13:56,705 --> 00:13:58,540 Okay, we're gonna check you out, Mr...? 294 00:13:58,673 --> 00:14:01,475 -Uh, Keaton. Keaton Pathak. -Keaton? 295 00:14:01,609 --> 00:14:03,043 -[stammers] June? -No, no, no. 296 00:14:03,177 --> 00:14:05,245 -Oh, my God, you're alive! -[Keaton] No thanks to you. 297 00:14:05,379 --> 00:14:07,314 You let go of my hand, you crazy bitch! 298 00:14:07,448 --> 00:14:09,651 -That's not what happened. -You're gonna pull out your IV. 299 00:14:09,784 --> 00:14:11,952 -[Spencer] Please calm down. -He has it wrong. He needs to know. 300 00:14:12,086 --> 00:14:14,021 -Keep her the hell away from me! -Just stay down. 301 00:14:14,154 --> 00:14:15,889 [June, Keaton groaning] 302 00:14:16,023 --> 00:14:17,559 You're right, never a dull moment. 303 00:14:18,459 --> 00:14:19,694 [June groaning] 304 00:14:24,498 --> 00:14:25,700 [shaver vibrates] 305 00:14:25,834 --> 00:14:28,837 [Jones] Um, Phillips-head. Phillips-head. [stammers] 306 00:14:30,003 --> 00:14:32,072 I got it. Is this like what you do at the hospital? 307 00:14:32,206 --> 00:14:35,242 Well, I'm a surgeon, so usually I would be the one using the tools. 308 00:14:35,710 --> 00:14:37,177 Don't even think about that. 309 00:14:37,311 --> 00:14:40,047 No one operates on this chair but me. 310 00:14:40,180 --> 00:14:42,116 I'm just here for prostate cancer. 311 00:14:42,249 --> 00:14:43,752 Uh-huh. Hex wrench. 312 00:14:45,452 --> 00:14:46,554 Thank you. 313 00:14:47,287 --> 00:14:50,190 -[sighs] -You know, Richard is a good man. 314 00:14:50,324 --> 00:14:54,428 I was happy to volunteer my shop, and he's going to help a lot of people. 315 00:14:56,196 --> 00:14:57,965 Yeah. Uh, yeah. 316 00:14:59,066 --> 00:15:01,703 Hey, so have you ever had a prostate exam? 317 00:15:03,470 --> 00:15:04,706 I beg your pardon? 318 00:15:04,839 --> 00:15:06,608 I mean, I could, uh, set up an appointment. We could-- 319 00:15:06,741 --> 00:15:08,175 [stammers] Save it. 320 00:15:08,308 --> 00:15:10,578 -Can you at least read the pamphlet? -No. 321 00:15:11,178 --> 00:15:14,047 And tell Richard I'm not interested. 322 00:15:15,182 --> 00:15:16,751 Well, I know he put you up to this. 323 00:15:16,885 --> 00:15:18,853 [scoffs] You're the boss. 324 00:15:20,320 --> 00:15:22,624 -He's not interested. -I knew that. You gotta keep trying. 325 00:15:22,757 --> 00:15:24,458 Well, I've been trying all morning. 326 00:15:30,030 --> 00:15:31,566 Pupils equal and reactive. 327 00:15:31,699 --> 00:15:33,100 Everything just happened so fast. 328 00:15:33,233 --> 00:15:34,903 [Keaton] I had a lot of time to replay it in my head 329 00:15:35,035 --> 00:15:37,304 while I was drowning in the freezing-ass Green River. 330 00:15:37,438 --> 00:15:40,909 Second IV's in. Let's push warm fluids and four milligrams of morphine. 331 00:15:41,041 --> 00:15:43,143 One large contusion on the left chest and one on the right arm. 332 00:15:43,277 --> 00:15:45,680 -He needs X-rays and a FAST exam. -You know how much I love you. 333 00:15:45,814 --> 00:15:48,449 [Keaton] And you decided to let go of me, okay? I saw it. 334 00:15:48,583 --> 00:15:51,018 And since you didn't die, you're dead to me. 335 00:15:51,151 --> 00:15:52,453 You don't mean that. Keaton! 336 00:15:52,587 --> 00:15:54,221 -Try not to move. -[Hunt] Okay, 337 00:15:54,354 --> 00:15:56,056 -there's free fluid around the spleen. -We gotta get her out of here. 338 00:15:56,190 --> 00:15:58,058 -[Altman] BP keeps dropping. -[Hunt] Let's push more fluids. 339 00:15:58,192 --> 00:15:59,993 Dr. Braider, do you have a procedure room we could use? 340 00:16:00,127 --> 00:16:01,962 -Down the hall on your right. -Thank you. Let's go. 341 00:16:02,095 --> 00:16:03,565 No, I want to stay. 342 00:16:03,698 --> 00:16:05,767 They'll bring you back after they wash your arm out. 343 00:16:05,900 --> 00:16:07,802 We need to evacuate him to a Level 1 trauma center ASAP. 344 00:16:07,936 --> 00:16:09,704 -He is not stable. -Then we'll keep pushing fluids. 345 00:16:09,838 --> 00:16:11,972 Hopefully that'll tide him over until we get the blood. 346 00:16:12,105 --> 00:16:14,208 Spoken like a rural hospital doctor. I'll call in the transport order. 347 00:16:14,341 --> 00:16:15,710 I'll get him prepped. Thank you. 348 00:16:15,844 --> 00:16:17,712 [breathing heavily] 349 00:16:21,381 --> 00:16:22,382 How'd it go? 350 00:16:22,917 --> 00:16:24,351 Oh, the stent's in place. 351 00:16:24,985 --> 00:16:27,421 So your biliary stenosis symptoms should improve. 352 00:16:28,523 --> 00:16:30,023 -[sighs] -If you're looking for Logan, 353 00:16:30,157 --> 00:16:32,993 I saw him chatting up a volunteer at the nurses' station. 354 00:16:33,126 --> 00:16:34,596 [chuckles] 355 00:16:35,429 --> 00:16:37,164 [sighs] He's a good kid. 356 00:16:37,297 --> 00:16:38,533 He's going through a lot. 357 00:16:39,132 --> 00:16:41,435 His mother left when he was nine months old. 358 00:16:41,569 --> 00:16:43,605 It's been just the two of us ever since. 359 00:16:43,738 --> 00:16:49,209 My dad and I took a national parks trip the summer before I went off to college. 360 00:16:49,343 --> 00:16:50,410 I didn't want to go. 361 00:16:50,545 --> 00:16:52,145 I was annoyed that he woke me up at dawn 362 00:16:52,279 --> 00:16:55,550 to go fly-fish in creeks that were cold as hell, 363 00:16:55,683 --> 00:16:58,620 but now I cherish those memories. 364 00:17:00,354 --> 00:17:03,223 It was our last hurrah before I became my own person. 365 00:17:06,460 --> 00:17:08,028 I wanted that for Logan. 366 00:17:08,730 --> 00:17:10,598 There are other drugs you haven't tried, 367 00:17:10,732 --> 00:17:13,500 and we're still looking for other compassionate care 368 00:17:13,635 --> 00:17:15,269 and clinical trial options. 369 00:17:15,402 --> 00:17:18,338 What are the odds that Dr. Bailey finds something? 370 00:17:19,541 --> 00:17:20,675 You only need one. 371 00:17:23,511 --> 00:17:24,478 -Oof. -Are you okay? 372 00:17:24,612 --> 00:17:27,047 Yeah. Uh, I'm just a little dizzy. 373 00:17:27,180 --> 00:17:31,051 Okay, white counts are pretty high. You have a fever. May I? 374 00:17:31,184 --> 00:17:32,386 Yeah. 375 00:17:33,021 --> 00:17:35,523 -Okay, any pain? -A little bit up here. 376 00:17:36,490 --> 00:17:38,058 [groaning] 377 00:17:38,191 --> 00:17:40,728 Okay. I'm getting blood cultures and taking you up for scans. 378 00:17:43,665 --> 00:17:45,399 Hey, how's it going in here? 379 00:17:45,533 --> 00:17:49,604 We've clamped the chest tube and we are ready to start chemical pleurodesis. 380 00:17:49,737 --> 00:17:51,204 Okay. All right. 381 00:17:51,338 --> 00:17:54,107 Sorry to interrupt. I have the patient's personal belongings. 382 00:17:54,241 --> 00:17:55,743 Yeah, please, by all means. 383 00:17:58,245 --> 00:18:03,051 The talc should help sclerose the pleural cavity to seal the air leak. 384 00:18:03,918 --> 00:18:06,353 Dr. Ndugu, did you know that it's Iris's birthday? 385 00:18:07,989 --> 00:18:09,757 I did. Mm-hmm. 386 00:18:09,891 --> 00:18:12,927 She is having dinner tonight with her friends and the guy that she's seeing. 387 00:18:13,061 --> 00:18:16,430 I mean, you must know him. He's a cardiothoracic surgeon. 388 00:18:17,397 --> 00:18:18,633 Uh-huh. 389 00:18:19,333 --> 00:18:21,101 Where are you going for the big celebration? 390 00:18:21,234 --> 00:18:23,437 Uh, I'm going to a sushi place near my apartment. 391 00:18:23,571 --> 00:18:25,205 They have killer omakase. 392 00:18:25,339 --> 00:18:27,575 [Millin] You know what separates good omakase from bad? 393 00:18:27,709 --> 00:18:28,776 Decisiveness. 394 00:18:29,777 --> 00:18:33,915 You know, actually, the best omakase is about the right timing 395 00:18:34,048 --> 00:18:36,084 and order of the food. 396 00:18:36,216 --> 00:18:39,087 -Hmm. -That is why I had cake before lunch. 397 00:18:41,288 --> 00:18:42,857 [Millin] I admire your conviction, Meade. 398 00:18:42,991 --> 00:18:46,159 You said that you were going to eat cake, so you ate cake. 399 00:18:46,928 --> 00:18:48,997 All done here. Enjoy your dinner. 400 00:18:49,129 --> 00:18:50,464 Thanks, I will. 401 00:18:50,598 --> 00:18:53,601 [PA announcer] Dr. Michelle Ward to LandD. 402 00:18:58,405 --> 00:19:00,541 [sighs] Whatever this is, he didn't need it. 403 00:19:00,675 --> 00:19:03,377 He's getting sicker. He's not gonna be able to tolerate more chemo. 404 00:19:04,144 --> 00:19:07,081 Well, we have to try. He wants to try. 405 00:19:09,083 --> 00:19:11,085 What is the point of all our training 406 00:19:11,218 --> 00:19:15,556 if some losers in an office building can tell us what's best for our patients? 407 00:19:15,690 --> 00:19:17,825 People who don't even know him. Do they care at all? 408 00:19:17,959 --> 00:19:20,494 [stammers] Yes, they do. 409 00:19:20,628 --> 00:19:21,829 How can you say that? 410 00:19:22,329 --> 00:19:25,600 You see what's happening. Katie Rogers died in my living room. 411 00:19:25,733 --> 00:19:29,336 Look, those losers are career public servants. 412 00:19:30,004 --> 00:19:32,305 People who show up at the office every day 413 00:19:32,439 --> 00:19:34,307 regardless of who's leading the charge. 414 00:19:34,441 --> 00:19:36,410 They show up because they care. 415 00:19:36,544 --> 00:19:39,379 I-I have to believe that. I've seen it. 416 00:19:39,514 --> 00:19:42,550 And it's good that they don't know Quinn 'cause they can be objective. 417 00:19:42,684 --> 00:19:46,386 Look, you cannot put a treatment with an unknown toxicity profile 418 00:19:46,521 --> 00:19:49,824 into someone just because they're dying anyway. 419 00:19:49,957 --> 00:19:53,061 That is not medicine. That is experimentation. 420 00:19:53,193 --> 00:19:55,495 But it already worked on some other patients. 421 00:19:55,630 --> 00:19:56,964 It could buy him some time. 422 00:19:57,098 --> 00:19:59,366 Or it could make things worse. 423 00:19:59,499 --> 00:20:02,369 Four years of schooling does not make you a god. 424 00:20:03,671 --> 00:20:06,406 We need guardrails, just like everybody else. 425 00:20:06,541 --> 00:20:08,475 -[machine chimes] -Oh. 426 00:20:09,177 --> 00:20:12,180 His biliary tree's still distended with an obstruction? 427 00:20:12,312 --> 00:20:14,182 He has ascending cholangitis. 428 00:20:14,982 --> 00:20:16,017 [sighs] 429 00:20:17,185 --> 00:20:21,354 Okay, let's, uh, prep for a percutaneous cholangiogram with a drain. 430 00:20:21,488 --> 00:20:23,191 Yeah. 431 00:20:29,897 --> 00:20:32,232 Hey, hey, hey, hey, it's her birthday. 432 00:20:32,365 --> 00:20:33,400 So I heard. 433 00:20:34,602 --> 00:20:37,038 -What do you want me to do? -I want you to break up with her. 434 00:20:37,572 --> 00:20:40,108 -Okay, I-I hate upsetting people. -Oh, my God. 435 00:20:40,240 --> 00:20:42,677 Once at Joe's, I found a fingernail in my onion rings, 436 00:20:42,810 --> 00:20:45,179 and I didn't want to tell the server, so I ate around it, 437 00:20:45,713 --> 00:20:47,148 and it wasn't even that guy's birthday. 438 00:20:47,280 --> 00:20:49,249 Okay, some stories don't need to be told. 439 00:20:49,382 --> 00:20:51,018 I just don't wanna be a jerk. 440 00:20:51,152 --> 00:20:53,755 Well, the jerky thing is to let Iris think that everything is fine 441 00:20:53,888 --> 00:20:56,891 when you have one foot out the door and your mouth on my mouth. 442 00:20:57,024 --> 00:20:59,026 Yeah, I agree. I'll do it tomorrow. 443 00:20:59,827 --> 00:21:03,798 All right, you-you can do whatever you want. 444 00:21:03,931 --> 00:21:07,235 I'm just... I'm just frustrated. 445 00:21:08,136 --> 00:21:11,404 After months of wanting this, 446 00:21:14,509 --> 00:21:15,543 I can't. 447 00:21:16,744 --> 00:21:18,445 Not on your girlfriend's birthday. 448 00:21:23,885 --> 00:21:25,086 [sighs] 449 00:21:31,291 --> 00:21:32,260 How's he doing? 450 00:21:32,392 --> 00:21:33,426 He's holding up. 451 00:21:33,895 --> 00:21:35,763 -Good. Medevac's en route. -Okay. 452 00:21:35,897 --> 00:21:38,933 -His repeat HandH dropped by two points. -[nurse 1] Dr. Braider. 453 00:21:40,333 --> 00:21:41,836 Owen, what are you doing here? 454 00:21:42,970 --> 00:21:45,606 -I'm helping a community that needs it. -That's not what I meant. 455 00:21:47,074 --> 00:21:50,011 [sighs] Listen, I haven't made any decisions yet. 456 00:21:50,144 --> 00:21:52,814 This hospital shuttered their ORs three years ago. 457 00:21:52,947 --> 00:21:55,983 Because a bean counter decided that it made financial sense. 458 00:21:56,117 --> 00:21:57,952 -People didn't stop needing surgery. -[sighs] 459 00:21:58,485 --> 00:22:01,122 They want me to start a regional surgical program, 460 00:22:01,255 --> 00:22:04,792 rotate in specialists so that folks can get the care they need closer to home. 461 00:22:04,926 --> 00:22:08,129 You're a trauma surgeon at a Level 1 trauma center. 462 00:22:08,262 --> 00:22:10,298 And I get to build this program from the ground up. 463 00:22:10,430 --> 00:22:11,933 [machine beeping] 464 00:22:12,066 --> 00:22:14,769 -He's about to code. -Bag him. Gonna need an intubation kit. 465 00:22:17,071 --> 00:22:18,105 All right. 466 00:22:18,940 --> 00:22:19,941 -Got it? -[Altman] Yep. 467 00:22:21,108 --> 00:22:22,310 [bell dings] 468 00:22:25,513 --> 00:22:27,048 So who else needs one of these? 469 00:22:27,682 --> 00:22:29,217 You've been gone for a while. 470 00:22:29,984 --> 00:22:31,018 [shaver vibrates] 471 00:22:32,854 --> 00:22:34,822 Yeah, I just... I just needed some air. 472 00:22:37,225 --> 00:22:39,994 You know, I've known Jones longer than I have my wife. 473 00:22:40,127 --> 00:22:41,996 I'd really appreciate it if you'd try it again. 474 00:22:42,129 --> 00:22:43,430 He obviously doesn't want to talk. 475 00:22:43,564 --> 00:22:45,700 Yeah, but that doesn't mean he doesn't want to listen. 476 00:22:45,833 --> 00:22:48,236 And I know he's well overdue for a screening. 477 00:22:48,368 --> 00:22:50,538 I thought that doctors weren't supposed to pressure their patients. 478 00:22:50,671 --> 00:22:53,574 Well, I just want to make sure he understands the risks and the benefits. 479 00:22:53,708 --> 00:22:55,408 With all due respect, sir, 480 00:22:55,543 --> 00:22:58,679 I was told I'll just be handing out flyers when I volunteered for this. 481 00:22:59,847 --> 00:23:02,149 [sighs, smacks lips] 482 00:23:03,117 --> 00:23:05,253 I-I think you need to go back to the hospital. 483 00:23:05,385 --> 00:23:08,055 -Because I don't wanna strong-arm one man? -I'm trying to save lives. 484 00:23:08,189 --> 00:23:09,924 I don't need another doctor getting in the way. 485 00:23:10,057 --> 00:23:12,260 [scoffs] Look, I understand that it's important. 486 00:23:12,392 --> 00:23:14,996 -Not like I do. -Well, I studied the same facts. 487 00:23:15,129 --> 00:23:17,565 I know the same risk factors, the screening process... 488 00:23:17,698 --> 00:23:18,933 But you haven't lived it. 489 00:23:22,402 --> 00:23:26,240 I'm so sorry. I... I-I didn't know. 490 00:23:27,341 --> 00:23:28,943 Yeah. 491 00:23:29,076 --> 00:23:31,279 You should go back to Grey Sloan. I'm sure they could use you there. 492 00:23:31,411 --> 00:23:34,181 -Are you sure? I can... I can stay. I... -No, I got this covered. 493 00:23:34,315 --> 00:23:35,349 You go ahead. 494 00:23:35,917 --> 00:23:37,385 [♪ dramatic music plays] 495 00:23:57,104 --> 00:23:59,173 -[Altman] Can't see the cords. -[Hunt] You want some cricoid pressure? 496 00:23:59,307 --> 00:24:00,308 Wouldn't hurt. 497 00:24:00,440 --> 00:24:01,474 [machine beeping] 498 00:24:03,544 --> 00:24:04,946 -[Altman] All right, I'm in. -Okay. 499 00:24:06,347 --> 00:24:07,381 All right. 500 00:24:08,849 --> 00:24:11,152 -Bilateral breath sounds. -His spleen is bleeding out? 501 00:24:11,285 --> 00:24:14,155 -That's the most likely explanation. -BP's down to 75. 502 00:24:14,288 --> 00:24:15,957 -Okay. How far is the medevac? -I don't know. 503 00:24:16,090 --> 00:24:17,658 If there's heavy fog, it could take longer. 504 00:24:17,792 --> 00:24:19,827 Can't wait. His spleen needs to come out right now. 505 00:24:20,394 --> 00:24:22,396 We're gonna need one of those old ORs. 506 00:24:25,933 --> 00:24:27,500 [Spencer] Does she need a plastics consult? 507 00:24:28,436 --> 00:24:29,904 -No. -[Spencer] Even with tissue coverage, 508 00:24:30,037 --> 00:24:33,174 -she'll have bad scarring. -We'll do our best to prevent that. 509 00:24:33,307 --> 00:24:35,076 [June] Brand me. I deserve a scar. 510 00:24:35,209 --> 00:24:37,645 I was slipping and I let go of my boyfriend to grab another branch. 511 00:24:37,778 --> 00:24:41,015 That's how you let him go? That's gut instincts or reflex. 512 00:24:41,148 --> 00:24:42,717 Lizard brain. Darwin. 513 00:24:42,850 --> 00:24:46,120 What did he expect you to do, sacrifice yourself so you both died? 514 00:24:46,253 --> 00:24:47,588 No, you did the right thing. 515 00:24:47,722 --> 00:24:50,358 If he can't see that, you were never meant to be. 516 00:24:50,958 --> 00:24:52,159 [June yelps] 517 00:24:52,927 --> 00:24:54,462 [Griffith] The tourniquet's been applied for too long. 518 00:24:54,595 --> 00:24:56,831 -It's cutting off her blood supply. -Am I losing my arm? 519 00:24:56,964 --> 00:24:58,366 No, no, but the artery going to your hand 520 00:24:58,498 --> 00:25:00,735 is compromised, and we need to repair it right now. 521 00:25:00,868 --> 00:25:04,538 -Spencer, get 6-0 Prolene and a castro. -Um, sure. Any idea where? 522 00:25:07,441 --> 00:25:09,710 [Spencer] I was gonna look for it, but shouldn't we get an attending? 523 00:25:09,844 --> 00:25:12,380 June is our patient, and she needs a simple primary repair. 524 00:25:12,513 --> 00:25:14,682 And if we don't do it now, she could lose her hand. 525 00:25:14,815 --> 00:25:15,850 -Do you want that? -No. 526 00:25:15,983 --> 00:25:17,685 Then get it together and help me. 527 00:25:24,458 --> 00:25:26,494 Hey, I-I've been looking for you. 528 00:25:27,461 --> 00:25:29,030 You did it. Way to go. 529 00:25:30,398 --> 00:25:32,166 Hey... You can't do that. 530 00:25:32,299 --> 00:25:34,902 Look, I just need your attention for 60 seconds. 531 00:25:37,671 --> 00:25:40,041 -What's wrong? -The stent didn't work. 532 00:25:40,641 --> 00:25:43,944 Your dad's developed an infection called ascending cholangitis, 533 00:25:44,078 --> 00:25:46,180 and the only way to clear it is to place a drain 534 00:25:46,313 --> 00:25:48,115 to remove the bile buildup in the liver. 535 00:25:48,249 --> 00:25:50,384 Okay. And then he'll feel better after that? 536 00:25:55,156 --> 00:25:56,891 I've been in your shoes. 537 00:25:57,024 --> 00:26:00,094 You know, when you're in and out of the hospital so many times with someone, 538 00:26:00,928 --> 00:26:04,765 it feels like the doctors are saying the same thing over and over again. 539 00:26:05,866 --> 00:26:08,503 It's impossible to tell if it's really serious 540 00:26:09,470 --> 00:26:10,771 or just more of the same. 541 00:26:13,040 --> 00:26:15,076 But this time it's different, Logan. 542 00:26:17,745 --> 00:26:20,147 Your dad probably only has a few weeks to live. 543 00:26:22,016 --> 00:26:26,253 He came in really, really sick, and he's not getting better. 544 00:26:28,557 --> 00:26:29,924 So if I were you, 545 00:26:30,758 --> 00:26:33,227 I'd do everything in my power 546 00:26:34,095 --> 00:26:36,130 to spend as much time with him as you can. 547 00:26:54,381 --> 00:26:55,550 It's been a minute. 548 00:26:55,683 --> 00:26:56,784 [chuckles] Yeah. 549 00:26:57,718 --> 00:26:59,887 -You want a little oil on your scalp? -Coconut? 550 00:27:00,522 --> 00:27:03,124 -You got it. -[chuckling] 551 00:27:03,824 --> 00:27:07,194 I think my nephew took care of you the last time. 552 00:27:07,895 --> 00:27:08,963 Yeah, he sure did. 553 00:27:09,897 --> 00:27:13,033 Look, I... I know it's been a minute since I've been to see you. 554 00:27:13,535 --> 00:27:15,469 Well, I thought you had left for another shop. 555 00:27:15,604 --> 00:27:16,605 Nah. 556 00:27:17,271 --> 00:27:19,807 Well, actually, I... I was home for a while. 557 00:27:21,175 --> 00:27:23,310 I had surgery for prostate cancer. 558 00:27:27,582 --> 00:27:28,916 I'm sorry, I didn't know. 559 00:27:30,818 --> 00:27:32,319 Are you doing chemo? 560 00:27:32,453 --> 00:27:36,123 Yeah, it was an option, but I elected to have my prostate removed. 561 00:27:36,690 --> 00:27:37,725 I was nervous, 562 00:27:38,792 --> 00:27:40,529 but I did it. I have no regrets. 563 00:27:41,095 --> 00:27:43,964 I'm cancer-free, and I feel great. 564 00:27:46,133 --> 00:27:47,301 Oh, Richard. 565 00:27:47,434 --> 00:27:49,904 No. Get the screening, Jones. 566 00:27:50,639 --> 00:27:52,373 I'm not saying this as a doctor. 567 00:27:53,274 --> 00:27:56,977 But as a survivor and as your friend. 568 00:27:57,912 --> 00:27:58,946 [sighs] 569 00:27:59,514 --> 00:28:00,681 If it means that much. 570 00:28:00,814 --> 00:28:01,849 It does. 571 00:28:02,750 --> 00:28:05,986 All right. then, sit back and let me fix what my nephew did to you 572 00:28:06,120 --> 00:28:08,022 'cause you're holding up my schedule. 573 00:28:08,155 --> 00:28:09,558 [both chuckling] 574 00:28:10,157 --> 00:28:11,192 [Webber groans] 575 00:28:11,992 --> 00:28:14,795 Hey, can I gut check something with you? It's a guy thing. 576 00:28:15,262 --> 00:28:16,263 -[sighs] No. -Okay, 577 00:28:16,397 --> 00:28:18,199 so say you had a favorite sandwich shop, 578 00:28:18,332 --> 00:28:21,402 and you go and get a sandwich there every day and then you find a salad spot-- 579 00:28:21,536 --> 00:28:23,204 Okay, I'm not gonna do the whole complicated analogy, 580 00:28:23,337 --> 00:28:25,272 -so can you just say Ndugu? -[shushes] 581 00:28:26,473 --> 00:28:28,809 Okay, fine. He... 582 00:28:31,212 --> 00:28:33,582 He said he was going to break up with this nurse that he was dating, 583 00:28:33,714 --> 00:28:34,949 and he didn't do it. 584 00:28:36,050 --> 00:28:37,718 Okay, he's not into you. 585 00:28:37,851 --> 00:28:39,621 Okay, at least not enough to go through trouble 586 00:28:39,753 --> 00:28:42,223 -of breaking up with somebody else. -[sobs] 587 00:28:44,825 --> 00:28:46,193 What is happening? 588 00:28:46,327 --> 00:28:48,862 I'm on these hormones from freezing my eggs. 589 00:28:48,996 --> 00:28:50,632 So you have to be gentle with me. 590 00:28:50,764 --> 00:28:52,701 -Okay, you should've opened with that. -It's her birthday. 591 00:28:52,833 --> 00:28:54,401 Does that change anything? 592 00:28:54,536 --> 00:28:55,869 Have you cried like this in front of him? 593 00:28:56,003 --> 00:28:58,038 -Well, no. -Definitely don't. 594 00:28:58,172 --> 00:29:00,207 [Millin sniffles] 595 00:29:00,341 --> 00:29:03,477 But it-it's still going to-to be all right, right? 596 00:29:03,978 --> 00:29:05,680 [sighs] Maybe. 597 00:29:05,813 --> 00:29:08,949 But if he doesn't keep his promise to you, then he's just a spineless wimp. 598 00:29:09,083 --> 00:29:10,552 Ugh. He's not a bad person. 599 00:29:10,685 --> 00:29:13,120 Well, he's got you crying like a teenager, so agree to disagree. 600 00:29:13,254 --> 00:29:14,788 I said be gentle. 601 00:29:23,297 --> 00:29:24,932 [machine beeping rapidly] 602 00:29:26,934 --> 00:29:29,436 [Braider] I know it was my idea to start a surgical program here, 603 00:29:29,571 --> 00:29:31,038 but I did not mean today. 604 00:29:31,171 --> 00:29:32,674 Do you see any other options? 605 00:29:32,806 --> 00:29:34,908 -Do you even have the right instruments? -I got a chest tube tray. 606 00:29:35,042 --> 00:29:37,911 [Hunt] And 11 blade isn't usually my go-to for an ex-lap, 607 00:29:38,045 --> 00:29:39,179 but I've operated with less. 608 00:29:39,313 --> 00:29:40,582 [Altman] I hope no one gives birth today. 609 00:29:40,715 --> 00:29:43,585 We stole every towel and drape from the OB ward. 610 00:29:43,718 --> 00:29:44,753 [Braider] What about retraction? 611 00:29:44,885 --> 00:29:46,954 Uh, specialty from our military days. 612 00:29:47,087 --> 00:29:49,223 -They're not Deavers, but it works. -[machine beeps] 613 00:29:49,890 --> 00:29:51,258 [Altman] Systolic is down to 70. 614 00:29:51,392 --> 00:29:52,426 Okay, Dr. Braider. 615 00:29:55,396 --> 00:29:56,598 Do it. 616 00:30:01,101 --> 00:30:02,771 [Spencer] I couldn't do that without loupes. 617 00:30:02,903 --> 00:30:04,773 I've been wearing glasses since I was two. 618 00:30:04,905 --> 00:30:07,709 Everyone in my family has perfect vision, but my pupils are just kind of-- 619 00:30:07,841 --> 00:30:09,476 [Griffith] Spencer, focus. 620 00:30:10,512 --> 00:30:13,447 [Griffith] All right. I'm just gonna unclamp the artery. 621 00:30:13,581 --> 00:30:15,849 ♪ But I still breathe ♪ 622 00:30:18,586 --> 00:30:20,789 No leaks. We did it. [chuckles] 623 00:30:20,954 --> 00:30:22,156 Of course we did. 624 00:30:22,757 --> 00:30:25,259 -I'm going to live? -Yes, and do you remember why? 625 00:30:25,760 --> 00:30:27,494 -Because I looked out for myself. -That's right. 626 00:30:27,629 --> 00:30:29,698 [Griffith] You did what you had to do to survive. 627 00:30:29,830 --> 00:30:32,266 Don't let anyone make you feel guilty for it. 628 00:30:32,399 --> 00:30:35,936 I know. And maybe you're right. Maybe we were never meant to be. 629 00:30:36,604 --> 00:30:38,472 I just don't want him to hate me. 630 00:30:40,007 --> 00:30:41,710 ♪ Where do we go? ♪ 631 00:30:41,842 --> 00:30:45,079 ♪ When it all turns grey ♪ 632 00:30:45,212 --> 00:30:51,118 [Bailey] All right, drain is in. Send the samples for culture and sensitivities. 633 00:30:55,222 --> 00:30:56,825 I spoke with Dr. Kuby. 634 00:30:56,957 --> 00:31:00,427 She's going to start Quinn on third line chemo 635 00:31:00,562 --> 00:31:02,496 once the infection clears. 636 00:31:02,630 --> 00:31:05,667 -[Kwan] Does she think it might work? -She thinks it's worth trying. 637 00:31:05,800 --> 00:31:07,935 [Kwan] His son hasn't even graduated high school. 638 00:31:09,370 --> 00:31:11,939 Are you sure we shouldn't inject the synthetic lymph node? 639 00:31:12,072 --> 00:31:15,744 It would be against the law to use an unapproved treatment 640 00:31:15,876 --> 00:31:17,411 without FDA permission. 641 00:31:17,545 --> 00:31:19,246 [Kwan] Okay, but the thing works. 642 00:31:19,380 --> 00:31:23,317 Eighty percent of patients had tumor shrinkage six months after getting it. 643 00:31:23,450 --> 00:31:26,286 Those are anecdotal results based on ten patients. 644 00:31:26,420 --> 00:31:28,556 We have no idea if it would work for him. 645 00:31:28,690 --> 00:31:32,594 We could just be giving his body something new to tolerate 646 00:31:32,727 --> 00:31:34,161 when he's already septic. 647 00:31:34,294 --> 00:31:36,363 All right, I have a hernia repair to get to. 648 00:31:36,497 --> 00:31:39,032 Secure the drain, and bring him back to his room. 649 00:31:39,166 --> 00:31:42,903 We'll image in 24 to 48 hours to make sure the drain worked. 650 00:31:43,036 --> 00:31:45,406 [Kwan] Okay, I'll let you know when the cultures are back. 651 00:31:45,540 --> 00:31:46,741 Okay, fixation device. 652 00:31:57,451 --> 00:32:00,588 [Hunt] All right, I see it. Looks like a stage 4 splenic lac. 653 00:32:00,722 --> 00:32:03,123 -I'm gonna need more towels. -[Altman] Yeah, I got you. 654 00:32:03,257 --> 00:32:06,927 [Braider] You two really have this down. I didn't realize you were also a veteran. 655 00:32:07,060 --> 00:32:10,130 [Hunt] She was chief at MEDCOM in Landstuhl, Germany. 656 00:32:10,264 --> 00:32:14,468 Don't let the fancy titles fool you. I also did tours in Afghanistan and Iraq. 657 00:32:14,602 --> 00:32:17,572 -Isn't that where you were stationed? -That's where we met. 658 00:32:17,705 --> 00:32:20,007 -[machine beeps] -[Braider] Oh. You better work fast. 659 00:32:20,140 --> 00:32:22,577 [Hunt] There's too much blood. I can't visualize the pedicle. 660 00:32:22,710 --> 00:32:24,712 -[Altman] All right, let me try something. -Yeah. 661 00:32:27,615 --> 00:32:29,584 [Altman] Yeah, I got it. All right, follow with your hand. 662 00:32:29,717 --> 00:32:31,118 [Hunt] Okay. 663 00:32:33,822 --> 00:32:35,590 [Hunt] Got it. Clamp. 664 00:32:36,190 --> 00:32:37,224 Another. 665 00:32:39,561 --> 00:32:41,563 Scissors. Oh-vicryl. Times two. 666 00:32:41,696 --> 00:32:43,030 Okay, when I'm done with this, 667 00:32:43,163 --> 00:32:45,533 I'm gonna need sterile towels for the temporary closure. 668 00:32:46,634 --> 00:32:50,170 [Altman] BP is holding steady and pulse is stabilizing. 669 00:32:51,806 --> 00:32:53,942 [Braider] I cannot believe you pulled this off. 670 00:32:55,209 --> 00:32:59,079 Well, you both just made my case for starting a surgical rotation here. 671 00:33:10,257 --> 00:33:11,492 [Hunt] Okay. 672 00:33:11,960 --> 00:33:15,195 Well, the helicopter pickup isn't too far. He's gonna be fine. 673 00:33:15,329 --> 00:33:19,032 Are you sure you're okay driving the transport van back? 674 00:33:19,166 --> 00:33:21,903 [chuckles] Yeah, as long as Spencer keeps her playlist to herself. 675 00:33:22,035 --> 00:33:25,372 And Griffith did an excellent repair on June's arm. 676 00:33:25,507 --> 00:33:28,108 I'll set up an outpatient follow-up with plastics. 677 00:33:30,143 --> 00:33:31,411 [Altman stammers] 678 00:33:31,546 --> 00:33:33,815 Oh, hey. Um, I'm sorry we couldn't get to more patients, 679 00:33:33,948 --> 00:33:35,382 but I'll come back next week. 680 00:33:35,517 --> 00:33:36,651 [Braider] No need to apologize, 681 00:33:36,784 --> 00:33:39,152 but I will look forward to seeing you again. 682 00:33:41,488 --> 00:33:45,025 Okay. I'll keep you updated on his status. 683 00:33:45,158 --> 00:33:46,093 Great. 684 00:33:46,226 --> 00:33:48,061 -Drive safe. -Okay, yeah. 685 00:33:49,062 --> 00:33:50,999 You're very lucky to have him. 686 00:33:51,498 --> 00:33:55,537 But I really hope he leaves you. 687 00:33:56,370 --> 00:33:57,505 [chuckles] 688 00:33:58,472 --> 00:34:01,041 Maybe I shouldn't be so bold about poaching him from your hospital, 689 00:34:01,174 --> 00:34:04,946 but you just seem like someone who loves a challenge as much as he does, 690 00:34:05,078 --> 00:34:06,480 and you two clearly have history. 691 00:34:06,614 --> 00:34:10,585 If you'd put a good word in for us here, I'd appreciate it. 692 00:34:12,152 --> 00:34:14,054 Owen's gonna make up his own mind. 693 00:34:14,856 --> 00:34:16,724 Good luck filling the position. 694 00:34:17,357 --> 00:34:19,027 [chuckles] 695 00:34:26,233 --> 00:34:27,769 [Bailey] Hey, how'd it go today? 696 00:34:27,902 --> 00:34:31,940 Oh, I showed Chester Jones how to message his PCP from his portal. 697 00:34:32,072 --> 00:34:35,175 Um... [chuckles] ...I'm not quite sure what to think of that. 698 00:34:35,309 --> 00:34:37,177 [chuckles] It's one of the best days I've had in a while. 699 00:34:37,311 --> 00:34:40,682 Maybe I saved some lives, and I didn't have to cut anyone open. 700 00:34:40,815 --> 00:34:42,349 Well, that sounds like a good day. 701 00:34:42,482 --> 00:34:44,552 I saw Adams came back early. 702 00:34:44,686 --> 00:34:47,555 Yeah, he wasn't in the right headspace for community outreach. 703 00:34:47,689 --> 00:34:50,290 I'm so sorry he wasn't helpful. 704 00:34:50,424 --> 00:34:52,092 Well, actually, he was. 705 00:34:52,225 --> 00:34:54,963 Until today, I was hesitant to tell my own story. 706 00:34:55,095 --> 00:34:58,666 But he reminded me that sometimes people need to hear from other patients 707 00:34:58,800 --> 00:35:00,935 -just as much as doctors. -Hmm. 708 00:35:01,069 --> 00:35:02,570 -[phone buzzes] -Yeah. 709 00:35:03,071 --> 00:35:05,974 Well, I'm glad everything worked out. 710 00:35:06,106 --> 00:35:07,875 I wish I could convince him to get a haircut. 711 00:35:08,009 --> 00:35:09,043 [both chuckles] 712 00:35:15,016 --> 00:35:16,050 [Kwan] Hey. 713 00:35:16,784 --> 00:35:17,819 Wh-Where's your dad? 714 00:35:18,285 --> 00:35:20,454 Uh, Dr. Bailey told the nurses to take him for a scan. 715 00:35:20,588 --> 00:35:22,189 What kind of scan? 716 00:35:22,890 --> 00:35:25,325 -[stammers] I don't know. -I meant did something happen? 717 00:35:25,459 --> 00:35:27,294 -I don't think so. -Oh. 718 00:35:28,796 --> 00:35:31,032 [stutters] Wait, wait. Do you think it's bad? 719 00:35:31,164 --> 00:35:33,200 No, no, no, I think it's fine. 720 00:35:40,374 --> 00:35:43,176 Oh, good. You're still here. I have something for you. 721 00:35:50,250 --> 00:35:51,385 What is this? 722 00:35:51,519 --> 00:35:52,854 A few of Katie's things her mom didn't take. 723 00:35:52,987 --> 00:35:54,454 Just thought you might want them. 724 00:36:05,767 --> 00:36:08,301 -You can't hate me forever. -Don't be so sure. 725 00:36:08,836 --> 00:36:11,139 Lucas, I'm sorry for your loss. I... 726 00:36:11,271 --> 00:36:13,373 She was your friend. I could've been more sensitive to that. 727 00:36:13,508 --> 00:36:15,877 What a relief. I feel so much better now. 728 00:36:17,244 --> 00:36:18,880 I know you're grieving. 729 00:36:19,013 --> 00:36:20,948 You're looking for explanations and saying things you might not mean. 730 00:36:21,082 --> 00:36:22,717 Who says I don't mean it? 731 00:36:22,850 --> 00:36:24,217 [♪ dramatic music plays] 732 00:36:26,386 --> 00:36:27,922 Leave me alone. 733 00:36:40,601 --> 00:36:45,173 Hey, I thought you were gonna wait 24 to 48 hours for Quinn's MRCP. 734 00:36:45,305 --> 00:36:48,710 That is the protocol, but you know, he's been through so much. 735 00:36:48,843 --> 00:36:52,680 I figured if the drain's not working, better to know now. 736 00:36:53,246 --> 00:36:54,381 How's it looking? 737 00:36:55,215 --> 00:36:57,250 -The bile's moving. -Hmm. 738 00:36:57,384 --> 00:37:01,455 Hopefully, the antibiotic will cool off the cholangitis. 739 00:37:01,589 --> 00:37:03,725 [stammers] I think we did it. 740 00:37:04,257 --> 00:37:05,693 Great. 741 00:37:05,827 --> 00:37:09,329 Um, so while I have you, can I ask you about Mr. Elmer's labs? 742 00:37:09,463 --> 00:37:10,898 Do you see that? 743 00:37:11,566 --> 00:37:16,269 There's a fluid collection adjacent to the tumor. What? 744 00:37:16,403 --> 00:37:21,042 Uh... Okay, is it blood? Or a bile leak? 745 00:37:21,175 --> 00:37:25,213 It's not contiguous with the biliary tree. 746 00:37:25,780 --> 00:37:27,481 Uh... Oh. 747 00:37:27,615 --> 00:37:31,152 I don't like what I'm seeing 'cause he could be bleeding from this tumor. 748 00:37:31,284 --> 00:37:36,557 All right, we need a repeat HandH and, uh, coags and, uh, set up an ultrasound. 749 00:37:36,691 --> 00:37:38,993 -It's hydrogel. -[stammers] 750 00:37:45,700 --> 00:37:47,300 And how did it get there? 751 00:37:48,202 --> 00:37:50,238 I injected it after you left. 752 00:37:51,005 --> 00:37:52,439 It's... it is his best option, 753 00:37:52,573 --> 00:37:54,108 and it was just sitting there in the hospital. 754 00:37:54,242 --> 00:37:59,446 It's his best option for you to commit a crime on my patient 755 00:37:59,580 --> 00:38:00,815 in my OR? 756 00:38:00,948 --> 00:38:02,784 Okay. No one has to know. 757 00:38:02,917 --> 00:38:04,752 What? Quinn has to know. 758 00:38:04,886 --> 00:38:09,624 You can't put an experimental treatment in someone's body and not tell them. 759 00:38:13,594 --> 00:38:14,762 [Bailey breathing heavily] 760 00:38:15,295 --> 00:38:17,665 Okay. Okay... [stammers] ...I can tell him. 761 00:38:17,799 --> 00:38:20,067 [stutters] No, stop. You have done enough. 762 00:38:35,616 --> 00:38:37,118 [huffs] 763 00:38:44,826 --> 00:38:46,493 [siren wailing in distance] 764 00:38:49,897 --> 00:38:51,833 Hey. Can we talk? 765 00:38:53,634 --> 00:38:55,335 Iris is a really nice person. 766 00:38:55,468 --> 00:38:59,006 She doesn't deserve to have her birthday ruined just because I'm impatient. 767 00:38:59,140 --> 00:39:02,009 And the fact that you care is part of what I like about you. 768 00:39:02,143 --> 00:39:04,712 So if you wanna wait till tomorrow, it's-it's fine. 769 00:39:04,846 --> 00:39:08,316 But if you're having second thoughts about us, will you just please tell me? 770 00:39:09,650 --> 00:39:10,685 I ended it. 771 00:39:11,552 --> 00:39:15,656 You were right. She deserved the truth, even on her birthday. 772 00:39:17,625 --> 00:39:20,995 Uh. How did she take it? 773 00:39:21,128 --> 00:39:23,231 Mm-mmm. It... [sucks teeth] ...uh... 774 00:39:24,332 --> 00:39:28,002 Well, I should stay off the labor and delivery floor for a while, 775 00:39:28,135 --> 00:39:30,037 -but I'm single. -Oh? 776 00:39:30,705 --> 00:39:32,206 And I want to take you out. 777 00:39:33,875 --> 00:39:35,710 Then I want to take you home. 778 00:39:38,813 --> 00:39:40,781 Oh, no. I'm-I'm freezing my eggs. 779 00:39:41,883 --> 00:39:44,318 -Okay? -Well, I can't have sex. 780 00:39:44,451 --> 00:39:47,154 Because it could cause ovarian torsion, which is, you know, when the ovaries-- 781 00:39:47,288 --> 00:39:48,421 I know what it is. 782 00:39:48,556 --> 00:39:52,260 So I probably shouldn't go home with you. 783 00:39:52,894 --> 00:39:54,494 Let's just do a movie and chill. 784 00:39:56,330 --> 00:39:59,567 I mean watch an actual movie and actually chill. 785 00:40:01,235 --> 00:40:02,770 I'd like that. 786 00:40:02,904 --> 00:40:06,107 [Grey] No matter how remote you are or how isolated you feel, 787 00:40:07,008 --> 00:40:08,042 there's hope. 788 00:40:09,343 --> 00:40:11,712 And help is usually closer than you think. 789 00:40:11,846 --> 00:40:14,882 ♪ Time, time, is it over yet? ♪ 790 00:40:15,016 --> 00:40:19,020 ♪ Till you wanna keep me But then there's nothing left ♪ 791 00:40:20,755 --> 00:40:22,823 It's been a day, and I need a drink. 792 00:40:22,957 --> 00:40:27,595 And I'm just sitting here, so I don't have to sit next to that guy. [chuckles] 793 00:40:30,097 --> 00:40:31,232 You know what, that's a lie. 794 00:40:31,365 --> 00:40:33,567 I'm just sitting here because I wanna sit here, 795 00:40:33,701 --> 00:40:36,570 and if you don't like it, you can move. 796 00:40:38,039 --> 00:40:39,472 [Grey] It's not always easy to ask. 797 00:40:41,776 --> 00:40:45,813 ♪ Oh oh oh oh oh ♪ 798 00:40:57,457 --> 00:40:59,293 [Grey] But with a little courage... 799 00:41:00,928 --> 00:41:03,597 if you look, you'll find what you need. 800 00:41:03,731 --> 00:41:05,533 Thank you for coming with us. 801 00:41:05,666 --> 00:41:07,702 Oh, yeah. Yeah. It was a... 802 00:41:09,971 --> 00:41:11,038 it was a good day. 803 00:41:11,505 --> 00:41:14,542 Well, we removed a spleen with a chest tube kit. 804 00:41:14,675 --> 00:41:16,277 [chuckles] 805 00:41:16,410 --> 00:41:19,313 I have done a lot of crazy things in my career, especially with you, 806 00:41:19,447 --> 00:41:22,482 but this was... this was up there. 807 00:41:25,820 --> 00:41:27,321 You're gonna take that job? 808 00:41:30,224 --> 00:41:31,792 I turned it down. 809 00:41:31,926 --> 00:41:35,296 You know, it was nice to think about, but the timing's not right. 810 00:41:35,429 --> 00:41:37,798 Oh, thank God. I thought you were gonna leave me. 811 00:41:37,932 --> 00:41:42,069 I mean, you know, if... if you had taken that job, 812 00:41:42,203 --> 00:41:45,473 I would've had to find a new chief of trauma 813 00:41:45,606 --> 00:41:49,944 and hire them and train them and just start over. 814 00:41:50,077 --> 00:41:52,446 Yeah, it would've been a hassle. 815 00:41:52,947 --> 00:41:55,116 [Grey] Your family, your friends, 816 00:41:55,983 --> 00:41:57,118 your community... 817 00:41:57,251 --> 00:41:59,153 I'm gonna go there once a month though. 818 00:41:59,286 --> 00:42:01,055 -Just to help out. -Oh. Yeah. 819 00:42:02,356 --> 00:42:03,991 We'll figure something out. 820 00:42:06,327 --> 00:42:07,895 [Grey] ...lifting you up.